Individual provider Active NPI

Manivel Kumaran Eswaran, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Sarasota, FL
National Provider Identifier
1780859660
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME135708 Issued in FL
Practice address
1921 Waldemere St Ste 512
Sarasota, FL 34239-2941
Phone
(941) 917-3270
Fax
(941) 917-3275
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD434716 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X BP10046298 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 126003 OH
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME135708 FL Primary

Addresses

Primary practice location

1921 Waldemere St Ste 512
Sarasota, FL 34239-2941

Mailing address

4340 W Newberry Rd Ste 301
Gainesville, FL 32607-2557
Phone (352) 372-9414

Other practice location 1

4340 W Newberry Rd Ste 301
Gainesville, FL 32607
Phone (352) 372-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015001162 FL Practitioner - Endocrinology 7416016340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

1921 Waldemere St
Suite 512
Sarasota, FL 34239-2941
Phone (941) 917-3500

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD434716PAMDInternal Medicine Physician
126003OHMDEndocrinology, Diabetes & Metabolism Physician
BP10046298TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Internal Medicine CurrentSince Apr 6, 2020 Accepting new patients
Accent Physician Specialists PA Endocrinology, Diabetes & Metabolism Current Accepting new patients
Geisinger Clinic Past Accepting new patients
SMH Physician Services Inc Past Accepting new patients

Locations

4340 Newberry Rd
Ste 301
Gainesville, FL 32607

14405 Arbor Green Trl
Lakewood Ranch, FL 34202
Phone (941) 917-7080

1921 Waldemere St
Ste 512
Sarasota, FL 34239
Phone (941) 917-3270

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1370 E Venice Ave
Ste 209
Venice, FL 34285
Phone (941) 222-0772

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: manivel.eswaran@fpg.directbygreenway.com
  • Direct secure messaging: maniveleswaran@accent.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1780859660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD STE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST STE 512",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392941",
            "telephone_number": "941-917-3270",
            "fax_number": "941-917-3275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 W Newberry Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32607",
            "country_code": "US",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESWARAN",
        "first_name": "MANIVEL",
        "middle_name": "KUMARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD434716",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "BP10046298",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "126003",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME135708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.